DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?

COVID-19 outbreak, caused by severe acute respiratory syndrome (SARS)-CoV-2 coronavirus has become an urgent health and economic challenge. Diabetes is a risk factor for severity and mortality of COVID-19. Recent studies support that COVID-19 has effects beyond the respiratory tract, with vascular c...

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Autores: Valencia, Inés, Peiró Vallejo, M. Concepción, Lorenzo González, Óscar, Sánchez Ferrer, Carlos Félix, Eckel, Jürgen, Romacho, Tania
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/692332
Acceso en línea:http://hdl.handle.net/10486/692332
https://dx.doi.org/10.3389/fphar.2020.01161
Access Level:acceso abierto
Palabra clave:ACEi
diabetes
angiotensin converting enzyme 2
cardiovascular disease
COVID-19
dipeptidyl peptidase 4
gliptins
SARS-CoV-2
Medicina
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spelling DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?Valencia, InésPeiró Vallejo, M. ConcepciónLorenzo González, ÓscarSánchez Ferrer, Carlos FélixEckel, JürgenRomacho, TaniaACEidiabetesangiotensin converting enzyme 2cardiovascular diseaseCOVID-19dipeptidyl peptidase 4gliptinsSARS-CoV-2MedicinaCOVID-19 outbreak, caused by severe acute respiratory syndrome (SARS)-CoV-2 coronavirus has become an urgent health and economic challenge. Diabetes is a risk factor for severity and mortality of COVID-19. Recent studies support that COVID-19 has effects beyond the respiratory tract, with vascular complications arising as relevant factors worsening its prognosis, then making patients with previous vascular disease more prone to severity or fatal outcome. Angiotensin-II converting enzime-2 (ACE2) has been proposed as preferred receptor for SARS-CoV-2 host infection, yet specific proteins participating in the virus entry are not fully known. SARS-CoV-2 might use other co-receptor or auxiliary proteins allowing virus infection. In silico experiments proposed that SARS-CoV-2 might bind dipeptidyl peptidase 4 (DPP4/CD26), which was established previously as receptor for MERS-CoV. The renin–angiotensin–aldosterone system (RAAS) component ACE2 and DPP4 are proteins dysregulated in diabetes. Imbalance of the RAAS and direct effect of soluble DPP4 exert deleterious vascular effects. We hypothesize that diabetic patients might be more affected by COVID-19 due to increased presence ACE2 and DPP4 mediating infection and contributing to a compromised vasculature. Here, we discuss the role of ACE2 and DPP4 as relevant factors linking the risk of SARS-CoV-2 infection and severity of COVID-19 in diabetic patients and present an outlook on therapeutic potential of current drugs targeted against RAAS and DPP4 to treat or prevent COVID-19-derived vascular complications. Diabetes affects more than 400 million people worldwide, thus better understanding of how they are affected by COVID-19 holds an important benefit to fight against this disease with pandemic proportionsIV is the recipient of a FPU fellowship (FPU16/02612). TR and JE are supported by KomIT-Center of Competence for Innovative Diabetes Therapy- funded by EFRE-NRW. CP and CS-F are supported by a grant from Plan Nacional de I+D (SAF2017-84776-R)Frontiers MediaDepartamento de FarmacologíaDepartamento de MedicinaFacultad de Medicina20202020-08-07research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/692332https://dx.doi.org/10.3389/fphar.2020.01161reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/6923322026-06-23T12:46:27Z
dc.title.none.fl_str_mv DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?
title DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?
spellingShingle DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?
Valencia, Inés
ACEi
diabetes
angiotensin converting enzyme 2
cardiovascular disease
COVID-19
dipeptidyl peptidase 4
gliptins
SARS-CoV-2
Medicina
title_short DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?
title_full DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?
title_fullStr DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?
title_full_unstemmed DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?
title_sort DPP4 and ACE2 in diabetes and COVID-19: Therapeutic targets for cardiovascular complications?
dc.creator.none.fl_str_mv Valencia, Inés
Peiró Vallejo, M. Concepción
Lorenzo González, Óscar
Sánchez Ferrer, Carlos Félix
Eckel, Jürgen
Romacho, Tania
author Valencia, Inés
author_facet Valencia, Inés
Peiró Vallejo, M. Concepción
Lorenzo González, Óscar
Sánchez Ferrer, Carlos Félix
Eckel, Jürgen
Romacho, Tania
author_role author
author2 Peiró Vallejo, M. Concepción
Lorenzo González, Óscar
Sánchez Ferrer, Carlos Félix
Eckel, Jürgen
Romacho, Tania
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Departamento de Farmacología
Departamento de Medicina
Facultad de Medicina
dc.subject.none.fl_str_mv ACEi
diabetes
angiotensin converting enzyme 2
cardiovascular disease
COVID-19
dipeptidyl peptidase 4
gliptins
SARS-CoV-2
Medicina
topic ACEi
diabetes
angiotensin converting enzyme 2
cardiovascular disease
COVID-19
dipeptidyl peptidase 4
gliptins
SARS-CoV-2
Medicina
description COVID-19 outbreak, caused by severe acute respiratory syndrome (SARS)-CoV-2 coronavirus has become an urgent health and economic challenge. Diabetes is a risk factor for severity and mortality of COVID-19. Recent studies support that COVID-19 has effects beyond the respiratory tract, with vascular complications arising as relevant factors worsening its prognosis, then making patients with previous vascular disease more prone to severity or fatal outcome. Angiotensin-II converting enzime-2 (ACE2) has been proposed as preferred receptor for SARS-CoV-2 host infection, yet specific proteins participating in the virus entry are not fully known. SARS-CoV-2 might use other co-receptor or auxiliary proteins allowing virus infection. In silico experiments proposed that SARS-CoV-2 might bind dipeptidyl peptidase 4 (DPP4/CD26), which was established previously as receptor for MERS-CoV. The renin–angiotensin–aldosterone system (RAAS) component ACE2 and DPP4 are proteins dysregulated in diabetes. Imbalance of the RAAS and direct effect of soluble DPP4 exert deleterious vascular effects. We hypothesize that diabetic patients might be more affected by COVID-19 due to increased presence ACE2 and DPP4 mediating infection and contributing to a compromised vasculature. Here, we discuss the role of ACE2 and DPP4 as relevant factors linking the risk of SARS-CoV-2 infection and severity of COVID-19 in diabetic patients and present an outlook on therapeutic potential of current drugs targeted against RAAS and DPP4 to treat or prevent COVID-19-derived vascular complications. Diabetes affects more than 400 million people worldwide, thus better understanding of how they are affected by COVID-19 holds an important benefit to fight against this disease with pandemic proportions
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-08-07
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10486/692332
https://dx.doi.org/10.3389/fphar.2020.01161
url http://hdl.handle.net/10486/692332
https://dx.doi.org/10.3389/fphar.2020.01161
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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